Pham J, Maneglia R, Tricot C, Leclerc A, Mesmoudi S
Service d'anesthésie-réanimation chirurgicale, hôpital Rothschild, Paris, France.
Ann Fr Anesth Reanim. 1998;17(3):243-9. doi: 10.1016/s0750-7658(98)80007-5.
Central venous catheters are usually inserted and manipulated by anaesthetists-intensivists and others familiar with their use under surgical conditions, yet they are often removed on the wards by junior doctors or nurses insufficiently trained in the removal procedure. In order to illustrate the risks presented by such a practice, we report a case of cerebral air embolism following the withdrawal of an internal jugular catheter in a sitting patient. The mechanisms of air entry into the venous and systemic circulation are considered, as well as the preventive and therapeutic measures.
中心静脉导管通常由麻醉师、重症监护医生及其他熟悉其在手术条件下使用的人员进行插入和操作，但往往由对拔除程序训练不足的低年资医生或护士在病房拔除。为了说明这种做法所带来的风险，我们报告一例坐位患者拔除颈内静脉导管后发生脑空气栓塞的病例。文中还讨论了空气进入静脉和体循环的机制以及预防和治疗措施。
